Drug Free Affidavit.pdf
PDF 190 KB Posted
- Attached to
- Mercer County HDQs Roof Replacement
- Solicitation number
- CRFQ-0803-DOT2600000017-4
- Issued by
- Mingo County, West Virginia
About this file
The documents are two forms from the State of West Virginia Purchasing Division related to drug-free workplace compliance: a Certified Drug-Free Workplace Report Coversheer (WV-72) and a Drug Free Workplace Conformance Affidavit (WV-73). These forms are designed to ensure contractors comply with West Virginia Code §21-1D-5 and §21-1D-7b regarding drug-free workplace policies. The forms require vendors to submit detailed reports about their drug testing practices, including education and training services, laboratory certification, employee drug testing, and test results across various categories like pre-employment, reasonable suspicion, post-accident, and random testing.
The documents mandate that contractors provide a certified report to the public authority awarding the contract, either annually or upon project completion. For contracts exceeding $25,000, reports must be mailed to the West Virginia Purchasing Division in Charleston, while smaller contracts require submission to the public authority issuing the contract. The forms must be completed and signed, with statements sworn under penalty of perjury, and require details such as contract identification, vendor contact information, and an affirmation that the company maintains a written drug-free workplace policy in compliance with state regulations.
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